A Study on the Validity of a Single-Item Question Concerning Sexual Satisfaction as a Screening Tool for Erectile Dysfunction in Primary Care.
- Author:
Young Ho SUNG
1
;
Su Jin KIM
;
Young Sik KIM
Author Information
1. Department of Family Medicine, Asan Medical Center, University of Ulsan, College of Medicine, Korea. youngkim@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
erectile dysfunction;
sexual satisfaction;
sensitivity;
positive predictive value
- MeSH:
Alcohol Drinking;
Body Mass Index;
Diabetes Mellitus;
Erectile Dysfunction*;
Humans;
Hyperlipidemias;
Hypertension;
Male;
Mass Screening*;
Prevalence;
Primary Health Care*;
Prostatic Hyperplasia;
Quality of Life;
Risk Factors;
Sensitivity and Specificity;
Smoke;
Smoking;
Surveys and Questionnaires
- From:Journal of the Korean Academy of Family Medicine
2002;23(11):1334-1339
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Despite its high prevalence and importance in terms of one's quality of life, male sexual dysfunction has been ignored. This study is intended to evaluate the validity of a single-item question concerning sexual satisfaction as a screening tool for assessing patients' erectile dysfunction in primary care. METHODS: The male patients, who visited the department of family medicine from May to July of 2002, were required to fill out a questionnaire in order to assess their sexual satisfaction. Sexual dysfunction was examined through the erectile function (IIEF-5) questionnaire. The questionnaire on sexual satisfaction was evaluated to determine the sensitivity, specificity, positive predictive value, and negative predictive value for erectile dysfunction in 299 subjects. RESULTS: The prevalence of erectile dysfunction was 41.5% in patients aged over 40. The ratio of sexual unsatisfaction was 35.8%, and the sensitivity and specificity of this response were 0.609 and 0.799, respectively. The prevalence of erectile dysfunction demonstrated a significant correlation with increasing age (P<0.001), but was not influenced by body mass index, smoking, alcohol consumption, and exercise. Diabetes mellitus was a risk factor of erectile dysfunction, but patients' personal medical history such as hypertension, hyperlipidemia, and prostatic hypertrophy were not related to sexual dysfunction. CONCLUSION: The single-item question concerning overall sexual satisfaction may be a useful screening tool for assessing erectile dysfunction.
